Finding 1223559 (2025-001)

Material Weakness Repeat Finding
Requirement
A
Questioned Costs
-
Year
2025
Accepted
2026-07-13

AI Summary

  • Core Issue: Errors in hourly wage rates for two employees led to incorrect reimbursement requests, impacting compliance with federal cost principles.
  • Impacted Requirements: Compliance with 2 CFR Part 200 Subpart E regarding allowable costs is not being met due to insufficient internal controls.
  • Recommended Follow-Up: Management should revise policies to ensure accurate verification of wage rates and benefits before submitting reimbursement requests.

Finding Text

2025-001 Allowable Costs/Cost Principles Federal Agency: U.S. Department of Agriculture Federal Program Title: Special Supplement Food Nutrition for Women, Infants, and Children Asset Listing Number: 10.557 Compliance Requirement Affected: Allowable Costs/Cost Principles Type of Finding: Significant Deficiency in Internal Control over Compliance Criteria: An effective internal control system over compliance with federal awards should be in place to ensure compliance with federal award requirements. Allowable costs on federal grants are expenses that are reasonable, necessary, and allocable to the project, adhering to 2 CFR Part 200 Subpart E guidelines. Condition: Audit procedures identified that a monthly reimbursement request of certain wages and related benefits contained hourly wage rate errors for two of the eleven employees. With one employee’s hourly wage rate understated and one employee’s hourly wage rate overstated. There were a total of five months that the employee’s hourly wage rate was understanded (August 2025 through December 2025) and a total of four months the employee’s hourly wage rate was overstated (September 2025 through December 2025). Questioned Costs: Less than $25,000 (Total net difference resulted in an overstatement of $6,551).Cause: Internal controls of over compliance were not sufficiently designed to ensure the correct actual wage rates and related benefits were used to request reimbursement with compliance requirements with federal awards. Possible Effect: The Health Center is not in compliance with the allowable costs/cost principles. Repeat Finding: No Recommendation: We recommend that management review and revise policies and procedures related to verifying that correct actual wage rates and related benefits are used to request reimbursements from federal awards.

Corrective Action Plan

Corrective Action Plan Management will review and revise policies and procedures related to verifying that correct actual wage rates and related benefits are used to request reimbursements from federal awards. Person Responsible for Implementation: Sarah Unruh, Program Manager of Accounting. Telephone (816) 595-4269, Email sunruh@clayhealth.com Implementation Date: Implementation of the corrective action plan has been implemented as policies and procedures have been updated and revised. In addition, the Health Center has informed and has been working with the Missouri Department of Health. The April 2026 reimbursement request was modified and corrected for the errors.

Categories

Allowable Costs / Cost Principles

Other Findings in this Audit

  • 1223558 2025-001
    Material Weakness Repeat

Programs in Audit

ALN Program Name Expenditures
93.977 SEXUALLY TRANSMITTED DISEASES (STD) PREVENTION AND CONTROL GRANTS $167,083
93.767 CHILDREN'S HEALTH INSURANCE PROGRAM $115,441
93.967 CENTERS FOR DISEASE CONTROL AND PREVENTION COLLABORATION WITH ACADEMIA TO STRENGTHEN PUBLIC HEALTH $77,497
10.557 WIC SPECIAL SUPPLEMENTAL NUTRITION PROGRAM FOR WOMEN, INFANTS, AND CHILDREN $36,683
93.994 MATERNAL AND CHILD HEALTH SERVICES BLOCK GRANT TO THE STATES $31,791
93.069 PUBLIC HEALTH EMERGENCY PREPAREDNESS $17,838
93.268 IMMUNIZATION COOPERATIVE AGREEMENTS $6,342
93.575 CHILD CARE AND DEVELOPMENT BLOCK GRANT $463
10.576 SENIOR FARMERS MARKET NUTRITION PROGRAM $300